Robert Buchholz, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME25658 Issued in FL

Practice address

1650 N Park Ave
Maitland, FL 32751-6570

Phone

(407) 647-0660

Fax

(407) 647-3060

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Amistad Residential Treatment Center , LLC

  • Psychiatric Residential Treatment Facility
  • Maitland, FL
  • NPI 1811964737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497890883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STRATFORD DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084368",
            "telephone_number": "407-647-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N PARK AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516570",
            "telephone_number": "407-647-0660",
            "fax_number": "407-647-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME25658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Brugge, LCSW, BCBA
• Christine R Bruner, M.D.
• Traci Brunet, M.S.
• Khalliah Grace Bryant, MS
• Melissa Bryant, LMHC
• Mary Catherine Buckland, L.M.H.C.
• Kimberly Buffkin, MD
• Faith Renee Buhler, LMT
• Gloria Gonzalez Bullman, PSY.D
• Shilpy Bunce, PA-C

• Psychiatry Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.